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首页|期刊导航|中国健康心理学杂志|情绪ABC理论结合支持性照护在减轻甲状腺肿瘤患者术后疼痛和负性情绪中的应用

情绪ABC理论结合支持性照护在减轻甲状腺肿瘤患者术后疼痛和负性情绪中的应用OA

Application of emotional ABC theory combined with supportive care on relieving postoperative pain and negative emotions in patients with thyroid tumors

中文摘要英文摘要

目的:探讨情绪ABC理论结合支持性照护在减轻甲状腺肿瘤患者术后疼痛和负性情绪中的应用效果.方法:将某院在2022年8月—2023年1月实施支持性照护的48例甲状腺肿瘤手术患者作为对照组,将2023年2-8月实施情绪ABC理论结合支持性照护的48例甲状腺肿瘤手术患者作为观察组.比较两组患者干预前后的疼痛情况、负性情绪、身体症状及患者满意度.结果:干预前两组患者改良McGill疼痛问卷(SF-MPQ-2)各维度得分相近(P>0.05),干预后,两组患者SF-MPQ-2问卷各维度得分均低于干预前,且观察组低于对照组(t=5.587,4.121,4.635,4.785;P<0.05);干预前两组患者情绪状态自评量表(DASS-21)各维度得分相近(P>0.05),干预后,两组患者DASS-21量表各维度得分均低于干预前,且观察组低于对照组(t=4.562,3.856,3.205;P<0.05);干预前两组患者中文翻译版埃德蒙顿症状评估量表(ESAS)得分相近(P>0.05),干预后,两组患者ESAS量表得分低于干预前,且观察组低于对照组(t=6.966,P<0.05);观察组患者满意度问卷(SCQ)各维度得分高于对照组(t=4.741,5.830,5.511,3.123,2.104,2.118,3.860;P<0.05).结论:情绪ABC理论结合支持性照护能有效缓解甲状腺肿瘤患者术后疼痛,改善患者负性情绪以及身体症状,提高患者满意度.

Objective:To explore the application effect of emotional ABC theory combined with supportive care on relieving the postoperative pain and negative emotions in patients with thyroid tumors.Methods:A total of 48 patients with thyroid tumor surgery who received supportive care in the hospital from August 2022 to January 2023 were se-lected as control group,and 48 patients with thyroid tumor surgery who carried out emotional ABC theory combined with supportive care from February 2023 to August 2023 were included in observation group.The pain status,nega-tive emotions,physical symptoms and patient satisfaction before and after intervention were compared between the two groups of patients.Results:Before intervention,the scores of dimensions of Short-Form McGill Pain Question-naire(SF-MPQ-2)in the two groups were similar.The scores of various dimensions of SF-MPQ-2 in both groups after intervention were lower than those before intervention,and the above scores in observation group were lower than those in control group(t=5.587,4.121,4.635,4.785;P<0.05).The scores of dimensions of DASS-21 of patients in both groups were similar before intervention.After intervention,the scores of dimensions of DASS-21 scale were lower in both groups than those before intervention,and the observation group had lower scores(t=4.562,3.856,3.205;P<0.05).The score of Chinese translation of Edmonton Symptom Assessment Scale(ESAS)of patients was similar in the two groups before intervention.After intervention,the score of ESAS scale in both groups was lower compared with that before intervention,and the score in observation group was lower compared to control group(t=6.966,P<0.05).The scores of various dimensions of Satisfaction Questionnaire(SCQ)in observation group were higher than those in control group(t=4.741,5.830,5.511,3.123,2.104,2.118,3.860;P<0.05).Conclu-sion:Emotional ABC theory combined with supportive care can effectively relieve postoperative pain in patients with thyroid tumors,improve negative emotions and physical symptoms,and enhance patient satisfaction.

王雪格;王碧轩;向瑗瑗

郑州大学第一附属医院甲状腺外科 450000郑州大学第一附属医院胃肠外科

基础医学

情绪ABC理论支持性照护甲状腺肿瘤负性情绪

Emotional ABC theorySupportive careThyroid tumorsNegative emotions

《中国健康心理学杂志》 2024 (007)

1027-1031 / 5

2023年河南省医学教育研究项目(编号:WJLX2023029)

10.13342/j.cnki.cjhp.2024.07.014

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